| NPI | 1821773771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH C ROUSSEAU CEO 602-880-4487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |